Neonatal outcomes in relation to timing of repeat cesarean delivery at term

Methodius G. Tuuli, Anthony O. Odibo

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


The increasing rates of repeat cesarean delivery necessitate, more than ever, the need to time deliveries to optimize neonatal outcomes. A recent large multicenter cohort study demonstrated that, contrary to current recommendations, a high proportion of elective cesarean deliveries in the USA are performed before 39 weeks' gestation. These early deliveries are associated with a significant increase in several adverse neonatal events, including respiratory complications, treated hypoglycemia, newborn sepsis and admission to the neonatal intensive care unit. This, together with results of previous studies, supports the recommendation to delay elective delivery to 39 weeks' gestation. From the current data, it is uncertain whether delivery before 39 weeks' gestation with documented fetal lung maturity will prevent the increased neonatal morbidity.

Original languageEnglish
Pages (from-to)239-242
Number of pages4
JournalWomen's Health
Issue number3
StatePublished - 2009


  • Elective
  • Neonatal outcomes
  • Repeat cesarean delivery
  • Respiratory complications
  • Term


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